Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath |
NPI | 1053723015 |
---|---|
Provider Name | Dr. Amber Tabares |
First Address | Tempe, AZ 85282-2153 |
Second Address | Tempe, AZ 85282-2153 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/05/2014 |
Last Update Date | 03/06/2016 |